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Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee t� <br /> SAC—Number of SAC Units l/ <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1aD1 <br /> 21Iy X t � _ $ cCZ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> —649 <br /> Estimated Construction Value: $ 3/ WD <br /> Orono Inspections Required Work Requiring Separate Permits <br /> 0 Site 0 Plumbing 0 Grading/Filling <br /> ?KFooting <br /> Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire <br /> O Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection <br /> O Framing 0 Other(specify) 0 Masonry 0 Sewer Connection <br /> O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> O Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> O Framing 0 Septic <br /> O Insulation <br /> -Built Survey <br /> Final <br /> • 0 Lathe Required State Permits <br /> O Other(specify) <br /> 0 Well /Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 See Builder Acknowledgement Form <br /> /P2rior to release of escrow money an as-built survey must be submitted and approved. <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />